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Annals of Vascular Surgery

Giuseppe M Saitta, Stefano Gennai, Elisa Munari, Giulia Trevisi Borsari, Antonio Lauricella, Mattia Migliari, Roberto Silingardi
No abstract text is available yet for this article.
October 24, 2018: Annals of Vascular Surgery
Nicholas J Madden, Keith D Calligaro, Hong Zheng, Douglas A Troutman, Matthew J Dougherty
OBJECTIVES: A percutaneous brachial artery (BA) approach is a suitable or even favorable alternative to femoral artery access when performing certain endovascular interventions. However, this approach may have a higher complication rate compared to femoral artery access. We analyzed our results using percutaneous BA approach for non-cardiac endovascular interventions. METHODS: Between January 1, 2003 - December 31, 2017, BA access was used in 157 cases performed on 136 patients...
October 19, 2018: Annals of Vascular Surgery
Yuki Orimoto, Hiroyuki Ishibashi, Ikuo Sugimoto, Tetsuya Yamada, Yuki Maruyama, Makiyo Hagihara, Tsuneo Ishiguchi
A persistent sciatic artery (PSA) is a rare congenital vascular anomaly that occurs in approximately 0.01 to 0.06% of the population. We encountered a patient with aneurysms in the common iliac-internal iliac artery continuous to an occluded right PSA. The patient was an 85-year-old male in whom intermittent claudication of the right lower limb appeared 3 months ago. The right ankle brachial index (ABI) was 0.48. On contrast CT, the right PSA was present and was occluded over the popliteal artery. The right superficial femoral artery was hypoplastic...
October 18, 2018: Annals of Vascular Surgery
Min Zhou, Yonggang Wang, Yong Ding, Liang Cai, Changpo Lin, Zhenyu Shi, Weiguo Fu
OBJECTIVE: Since the introduction of endovascular aortic aneurysm repair (EVAR), the morphology of aneurysm neck has a great impact on prognosis of patients who underwent elective abdominal aortic aneurysm (AAA) repair. In this study, we aimed to analyze the morphologic features and prognosis after EVAR for patients with hostile neck anatomy and tried to create a novel prognostic nomogram in predicting EVAR-related adverse events. METHODS: We retrospectively reviewed 812 patients with infra-renal AAA who underwent elective EVAR procedures between January 2010 and December 2015 at our single center and identified patients with hostile neck...
October 18, 2018: Annals of Vascular Surgery
Pascual Lozano-Vilardell, Raúl Lara-Hernández, Noé Benabarre-Castany, David García-García
A 79-year old patient with an asymptomatic 63-mm infrarenal abdominal aortic aneurysm, confirmed on computed tomography, was admitted in our unit. The patient had undergone kidney transplantation years before, due to renal failure secondary to polycystic kidney disease. Renal function at admission was normal. The aneurysm had a very short neck, and a standard endovascular aortic repair procedure was not feasible. So, the two renal arteries were embolized with coils and endovascular repair of the aneurysm, covering the ostia of the renal arteries, was achieved placing the endoprosthesis up to the level of superior mesenteric artery...
October 17, 2018: Annals of Vascular Surgery
Carlos Martínez-Rico, Xavier Martí-Mestre, Xavier Jiménez-Guiu, Emma Espinar-Garcia, Dolors Cervellera-Garcia, Ramón Vila-Coll
INTRODUCTION: Endovascular surgery has become the initial treatment for most patients with chronic ischaemia of the lower limbs. Few studies support ultrasound surveillance (US) of this kind of procedures. The purpose of this study was to evaluate the initial efficacy of DUS as a surveillance method in endovascular treatment in symptomatic peripheral arterial disease (PAD) patients in our centre. MATERIAL AND METHODS: A total of 113 endovascular procedures were included in 106 patients between February 2013 and June 2015...
October 17, 2018: Annals of Vascular Surgery
Akihiro Yoshitake, Yasunori Iida, Masataka Yamazaki, Kanako Hayashi, Yu Inaba, Hideyuki Shimizu
BACKGROUND: This report evaluated the perioperative and mid-term results of the two-stage hybrid arch procedure. This procedure involves total arch replacement with an elephant trunk as the first stage and thoracic endovascular aortic repair as the second stage for patients with extended aortic arch pathology. METHODS: Between April 2010 and April 2017, 55 consecutive patients (age, 74.2 ± 6.4 years) with extended aortic arch atherosclerotic pathology involving the aortic arch and descending aorta underwent first-stage total arch replacement with the elephant trunk procedure...
October 17, 2018: Annals of Vascular Surgery
Julien Chikande, Virginie Rampal, Nirvana Sadaghianloo, Voury-Pons Audrey, Federico Solla
INTRODUCTION: About 10% of supracondylar humerus fractures in children are associated with distal ischemia. In case of acute limb ischemia after reduction and fixation, it is recommended to explore the brachial artery surgically without delay. However, there is no consensus on the management of intermediate situations, like a perfused hand with a weak pulse after fracture fixation. CASE REPORT: A 6 years old boy presented a displaced Gartland type III supracondylar humerus fracture with no radial or ulnar pulse and hand ischemia...
October 17, 2018: Annals of Vascular Surgery
Shigeshi Ono, Hideaki Obara, Kazuki Hagiwara, Fumitaka Saida, Kentaro Oshiro, Kentaro Matsubara, Shintaro Shibutani, Yuko Kitagawa
Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We herein describe a case of a large PGS that was managed by utilizing a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort, and had difficulty in taking food. The entire relining of the original covered stent graft with GORE® EXCLUDER® using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed...
October 17, 2018: Annals of Vascular Surgery
Paolo Sapienza, Filippo Napoli, Elvira Tartaglia, Luigi Venturini, Antonio V Sterpetti, Gioia Brachini, Sergio Gazzanelli, Andrea Mingoli
BACKGROUND: Femoral prosthetic patch is a surgical procedure frequently used to treat atherosclerotic lesions involving femoral artery bifurcation. Even though it is an easy to perform procedure, surgical management of complications, first of all graft infection, may be challenging, with a high morbidity and mortality risk for patients. We report our experience on surgical treatment of femoral patch infection. MATERIALS AND METHODS: Between April 2012 and April 2018, 26 patients (26 limbs) were referred to the Emergency Department at our Institution, for the treatment of femoral prosthetic patch infection...
October 17, 2018: Annals of Vascular Surgery
Matthew Carnevale, John Phair, Patricia Yau, Karan Garg
The link between coagulatory dysfunction in acute leukemias is well known, with patients having an increased risk of bleeding as well as thrombosis. Arterial thrombosis is particularly rare in this population however with only a few reported cases in the literature. We report the case of acute arterial occlusion secondary to a leukoblastic embolus causing limb threatening ischemia in a patient with acute myelogenous leukemia. The patient was successfully treated surgically by open superficial femoral artery thrombectomy, common femoral endarterectomy with patch angioplasty, and percutaneous tibial embolectomy...
October 17, 2018: Annals of Vascular Surgery
Y Law, N Tsilimparis, S Aleed, F Rohlffs, N Schofer, E S Debus, G Müller, T Kölbel
INTRODUCTION: Thoracic endovascular aortic repair (TEVAR) with self-expanding endo-graft is increasingly used as a viable treatment option for adult aortic coarctation (AC). METHODS: We hereby reported a 55 years old gentleman with late presentation of AC, treated by a novel strategy with thoracic endograft and in situ laser fenestration for left subclavian artery (LSA) revascularization. RESULTS: AC was incidentally discovered during coronary angiogram as an investigation for his angina pectoris...
October 17, 2018: Annals of Vascular Surgery
Joshua D Whittaker, Richard Tullett, Neesha Patel, Jeremy Newman, Andrew Garnham, Michael Wall
BACKGROUND: Major Lower Limb Amputation (MLLA) is well-recognised to carry high rate of mortality, however little evidence explores the reasons for this. Even fewer studies look at other outcomes after MLLA such as major morbidity and functional and social recovery. This study aims to provide a contemporary analysis of these outcomes in order to contextualise the current state of care for MLLA in the United Kingdom. METHODS: All index major lower limb amputations conducted in a single tertiary vascular centre over a one-year period were entered into the study...
October 17, 2018: Annals of Vascular Surgery
E M Marone, L F Rinaldi, M Lovotti, P Palmieri, A Argenteri
BACKGROUND: Endovascular repair is currently the most frequently used treatment of abdominal aortic aneurysms, but its feasibility and success highly depend on the characteristics and the correct choice of the endograft to employ. Bolton Treo is one of the most popular endograft among those of newer generation that have been launched in the past few years, and this study aims to analyze the preliminary outcomes (8 months in average) of a single-center experience with this device. METHODS: 37 consecutive abdominal aortic aneurysms, treated with Treo between June 2016 and December 2017, were followed up every 3, 6 and 12 months and any kind of endograft-related complications was recorded...
October 17, 2018: Annals of Vascular Surgery
Yasunori Iida, Akihiro Yoshitake, Hideyuki Shimizu
OBJECTIVES: Postoperative fluid overload in cardiovascular surgery is associated with increased mortality and morbidity. Recently, tolvaptan (TLV), a selective vasopressin V2 antagonist, has been used for perioperative fluid management. This study aimed to validate the safety and effectiveness of TLV administration after total arch replacement (TAR) using selective cerebral perfusion. METHODS: From August 2016 to December 2016, 11 patients who had undergone TAR for thoracic aortic aneurysm were included in this study...
October 17, 2018: Annals of Vascular Surgery
Hiroshi Banno, Naohiro Akita, Takayuki Fujii, Takuya Tsuruoka, Noriko Takahashi, Masayuki Sugimoto, Kiyoaki Niimi, Kimihiro Komori
INTRODUCTION: Prior studies have shown that a bird-beak configuration causes serious complications after thoracic endovascular aortic repair (TEVAR). However, factors that cause bird-beak configurations are poorly understood. The purpose of this study was to assess the influences of anatomical and device-related factors on bird-beak configuration. METHODS: Sixty-eight consecutive patients (47 men, mean age 72.8±9.8 years) who underwent TEVAR with proximal fixation in zones 1 to 3 from March 2009 to February 2017 were included...
October 17, 2018: Annals of Vascular Surgery
Ryan Cauley, Winona W Wu, Andres Doval, Elliot Chaikof, Kalon K L Ho, Matthew L Iorio
BACKGROUND: The radial approach to cardiac procedures has become increasingly common. While previous studies have suggested a favorable risk profile, serious complications can occur. The purpose of this study was to examine the incidence, subsequent treatment and outcome of all suspected significant neurovascular complications following trans-radial cardiac procedures at a large US hospital. METHODS: We reviewed all patients who underwent a left heart catheterization, coronary angiogram, or percutaneous coronary intervention via the trans-radial approach at a single large academic medical center in the United States between 2010 and 2016...
October 17, 2018: Annals of Vascular Surgery
Matthew G Brown, Nicholas Dugan, Laura C Lamb
INTRODUCTION: Autogenous arteriovenous fistula (AVF) creation is the gold standard of hemodialysis access. However, autologous upper extremity arteriovenous fistulae continue to present significant clinical challenges including failure to mature and steal syndrome. We describe treating a patient with dialysis-associated steal syndrome (DASS) by ligating and then transposing a well-developed, mature upper arm cephalic vein AVF into the contralateral arm. CASE DESCRIPTION: Our patient is a 76 year old female with end stage renal disease (ESRD) secondary to glomerulonephritis, who had a left arm brachiocephalic AVF created in 2007...
October 17, 2018: Annals of Vascular Surgery
Umberto Marcello Bracale, Anna Maria Giribono, Domenico Spinelli, Luca Del Guercio, Narayana Pipitò, Doriana Ferrara, David Barillà, Danilo Barbarisi, Graziana Derone, Filippo Benedetto
BACKGROUND: The aim of this study is to retrospectively analyze the early and long-term outcomes of endovascular treatment of Trans-Atlantic Inter-Society Consensus II class C and D (TASC II) aortoiliac occlusive disease with an expanded polytetrafluoroethylene-covered stent graft. METHODS: Between January 2006 and November 2017, 61 patients (53 males, 8 females), with symptomatic aortoiliac stenotic and/or occlusive disease, were treated with VIABAHN (W.L. Gore and Associates, Flagstaff, Ariz) at 2 University medical centers...
October 17, 2018: Annals of Vascular Surgery
Griffin Boll, Ariel Fischer, Navin K Kapur, Payam Salehi
BACKGROUND: Impella 5.0 is a powerful mechanical circulatory support device placed into the left ventricle of patients in cardiogenic shock not responding to pharmacologic support alone. This therapy can support patient hemodynamics from weeks to several months, and patients can potentially ambulate with the device implanted while awaiting destination therapy. METHODS: From July 2012 to September 2017, twenty-two Impella 5.0 devices (Abiomed Inc., Danvers, MA) were implanted via right axillary artery at our center...
October 17, 2018: Annals of Vascular Surgery
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